Guest guest Posted May 21, 2006 Report Share Posted May 21, 2006 The second one mentions sickness behavior, which depression is sometimes considered a manifestation of... 1-Activation of innate immunity in the CNS triggers neurodegeneration through a Toll-like receptor 4-dependent pathway. 2-Entry of blood-borne cytokines into the central nervous system: effects on cognitive processes. 3-The mannose receptor in the brain. 4-Intrathecal inflammation precedes development of Alzheimer's disease. 5-Impact of Viral and Bacterial Burden on Cognitive Impairment in Elderly Persons With Cardiovascular Diseases 6-Three or more routes for leukocyte migration into the central nervous system. --------------------------------------------------------------------------------\ ----------------------------------------------------- Proc Natl Acad Sci U S A. 2003 Jul 8;100(14):8514-9. Epub 2003 Jun 24. Related Articles, Links Activation of innate immunity in the CNS triggers neurodegeneration through a Toll-like receptor 4-dependent pathway. Lehnardt S, Massillon L, Follett P, Jensen FE, Ratan R, Rosenberg PA, Volpe JJ, Vartanian T. Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA. Innate immunity is an evolutionarily ancient system that provides organisms with immediately available defense mechanisms through recognition of pathogen-associated molecular patterns. We show that in the CNS, specific activation of innate immunity through a Toll-like receptor 4 (TLR4)-dependent pathway leads to neurodegeneration. We identify microglia as the major lipopolysaccharide (LPS)-responsive cell in the CNS. TLR4 activation leads to extensive neuronal death in vitro that depends on the presence of microglia. LPS leads to dramatic neuronal loss in cultures prepared from wild-type mice but does not induce neuronal injury in CNS cultures derived from tlr4 mutant mice. In an in vivo model of neurodegeneration, stimulating the innate immune response with LPS converts a subthreshold hypoxic-ischemic insult from no discernable neuronal injury to severe axonal and neuronal loss. In contrast, animals bearing a loss-of-function mutation in the tlr4 gene are resistant to neuronal injury in the same model. The present study demonstrates a mechanistic link among innate immunity, TLRs, and neurodegeneration. PMID: 12824464 [PubMed - in process] --------------------------------------------------------------------------------\ -------------------------------- Neuroimmunomodulation. 2003;10(6):319-27. Related Articles, Links Entry of blood-borne cytokines into the central nervous system: effects on cognitive processes. Banks WA, Farr SA, Morley JE. GRECC, Veterans Affairs Medical Center, St. Louis and Saint Louis University School of Medicine, Division of Geriatrics, Department of Internal Medicine, St. Louis, Mo., USA. Blood-borne cytokines affect many aspects of the central nervous system (CNS). One of the more dramatic effects is the induction of sickness behavior. Impairments in learning and memory are an important component of sickness behavior and are largely mediated by IL-1. Many mechanisms have been proposed by which a cytokine circulating in the blood can affect functions within the CNS. We review here the role one of those mechanisms, that of transport of cytokines across the blood-brain barrier (BBB), plays in induction of the memory impairments of sickness behavior. We have shown that the posterior division of the septum (PDS) plays a key role in mediating the effects of interleukin-1alpha (IL-1alpha) on memory. Furthermore, this effect at the PDS is largely mediated by circulating IL-1alpha acting directly at the PDS which, in turn, depends on the ability of IL-1alpha to cross the BBB. Copyright 2003 S. Karger AG, Basel PMID: 12907838 [PubMed - in process] --------------------------------------------------------------------------------\ -------------------------------------------- Int Rev Cytol. 2003;226:321-42. Related Articles, Links The mannose receptor in the brain. Regnier-Vigouroux A. Applied Tumor Virology, AbtF010/INSERM U375, Deutsches Krebsforschungszentrum, INF 242, 69120, Heidelberg, Germany. The mannose receptor is a transmembrane glycoprotein mainly expressed by macrophages, that specifically binds to mannosylated molecules and mediates their endocytosis. Known ligands of the receptor are lysosomases and various pathogens. Ligand specificity and cellular distribution provide the mannose receptor with a very important role in homeostasis and in the immune response. _Expression of the mannose receptor has recently been demonstrated in the brain. Astrocytes and microglia, two types of glial cells that can be turned into immune-competent cells, are the main site of _expression in vivo and in vitro. The mannose receptor mediates in vitro pinocytosis by astrocytes and microglia and phagocytosis by microglia. _Expression and endocytic activities of the mannose receptor in these cells are regulated by various cytokines. Based on our current knowledge on mannose receptor activities in brain cells, on its regional and temporal _expression in that organ, and on its putative ligands therein, the possible involvement of the mannose receptor in brain homeostasis, neuronal functions, and brain defense is discussed. PMID: 12921240 [PubMed - in process] --------------------------------------------------------------------------------\ --------------------------------------------- J Neurol Neurosurg Psychiatry. 2003 Sep;74(9):1200-1205. Related Articles, Links Intrathecal inflammation precedes development of Alzheimer's disease. Tarkowski E, sen N, Tarkowski A, Blennow K. Department of Rheumatology, University of Goteborg, Goteborg, Sweden. Department of Geriatrics, University of Goteborg. Department of Clinical Neurosciences (Section of Neurochemistry), University of Goteborg and Department of Clinical Chemistry, University of Goteborg. Karolinska Institut, NEUROTEC, Department of Clinical Geriatrics, Stockholm, Sweden. OBJECTIVES: To analyse the cerebrospinal fluid (CSF) values of the proinflammatory cytokines, interleukin 1beta (IL1beta), tumour necrosis factor alpha (TNFalpha), GM-CSF, of the anti-inflammatory cytokine TGFbeta, of tau protein, a marker for neurodegeneration, and of beta amyloid (Abeta), a protein involved in the formation of senile plaques, in prospectively followed up patients with mild cognitive impairment (MCI). METHODS: Analyses of CSF levels of TNFalpha, IL1beta, GM-CSF, TGFbeta, betaa, and tau protein were performed using ELISA in 56 patients with MCI who were followed up prospectively and in 25 age matched, healthy controls. RESULTS: Patients with MCI displayed significantly higher levels of TNFalpha and tau protein and significantly lower levels of TGFbeta and Abeta compared with the healthy controls. After nine months of follow up, 25 patients still displayed MCI while the remaining 31 patients had progressed to Alzheimer's disease (AD). Only MCI patients who progressed to AD at follow up, showed significantly higher CSF levels of TNFalpha than controls. In addition, reduced CSF-Abeta42 levels were only found in MCI patients that progressed to AD, further supporting the notion that disturbed metabolism of Abeta is an early finding in AD. CONCLUSIONS: These results demonstrate increased production of the proinflammatory cytokine, TNFalpha and decreased production of the anti-inflammatory cytokine TGFbeta in patients with MCI at risk to develop AD, suggesting a propensity towards inflammation in this patient group and indicating that CNS inflammation is a early hallmark in the pathogenesis of AD. PMID: 12933918 [PubMed - as supplied by publisher] --------------------------------------------------------------------------------\ ---------------------------------------- Stroke. 2003 Aug 14 [Epub ahead of print]. Related Articles, Links Impact of Viral and Bacterial Burden on Cognitive Impairment in Elderly Persons With Cardiovascular Diseases. Strandberg TE, Pitkala KH, Linnavuori KH, Tilvis RS. Department of Medicine, Geriatric Clinic, and Department of Virology, University of Helsinki, Helsinki, Finland. BACKGROUND AND PURPOSE: Inflammation and infectious etiology have been implicated in the pathogenesis of dementia. We sought to investigate whether the seropositivity of common infections was associated with cognitive function. METHODS: Viral burden (seropositivity for herpes simplex virus type 1 [HSV-1], herpes simplex virus type 2 [HSV-2], or cytomegalovirus [CMV]) and bacterial burden (Chlamydia pneumoniae and Mycoplasma pneumoniae) were related to cognitive status and its impairment among 383 home-dwelling elderly with cardiovascular diseases (mean age, 80 years). The Mini-Mental State Examination (MMSE) and its changes and the Clinical Dementia Rating (CDR) were used to define cognitive impairment. RESULTS: At baseline, 0 to 1, 2, and 3 positive titers toward viruses were found in 48 (12.5%), 229 (59.8%), and 106 individuals (27.7%), respectively. MMSE points decreased with increasing viral burden (P=0.03). At baseline, 58 individuals (15.1%) had cognitive impairment, which after adjustments was significantly associated with seropositivity for 3 viruses (hazard ratio, 2.5; 95% CI, 1.3 to 4.7). MMSE score decreased in 150 (43% of 348) during 12-month follow-up. After adjustment for MMSE score at baseline and with 0 to 1 seropositivities as reference (1.0), the hazard ratios were 1.8 (95% CI, 0.9 to 3.6) and 2.3 (95% CI, 1.1 to 5.0) for 2 and 3 seropositivities, respectively. The prevalence of possible or definite dementia according to CDR also increased with viral burden. No significant associations were observed between bacterial burden and cognition. CONCLUSIONS: Viral pathogen burden of HSV and CMV was associated with cognitive impairment in home-dwelling elderly persons with cardiovascular diseases. The results need to be tested in larger databases, but they may offer a preventable cause of cognitive decline. PMID: 12920256 [PubMed - as supplied by publisher] --------------------------------------------------------------------------------\ ------------------------------------------------ Nat Rev Immunol. 2003 Jul;3(7):569-81. Related Articles, Links Three or more routes for leukocyte migration into the central nervous system. Ransohoff RM, Kivisakk P, Kidd G. The Mellen Center for Multiple Sclerosis Treatment and Research, Department of Neurology, 9500 Euclid Avenue, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. ransohr@... Leukocyte migration into and through tissues is fundamental to normal physiology, immunopathology and host defence. Leukocyte entry into the central nervous system (CNS) is restricted, in part, because of the blood-brain barrier (BBB). During the past decade, crucial components that are involved in the process of leukocyte migration have been identified and progress has been made in understanding the mechanisms of neuroinflammatory reactions. In this review, present knowledge of the trafficking determinants that guide the migration of leukocytes is superimposed onto the vascular and compartmental anatomy of the CNS. We discuss three distinct routes for leukocytes to enter the CNS and consider how different populations of leukocytes use trafficking signals to gain entry. PMID: 12876559 [PubMed - in process] __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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